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General NPI Number Information
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NPI Number | 1649086885
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Entity Type | Organization
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Legal Business Name | F.A.M HEALING CENTER LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2340 E CALVADA BLVD STE 5A
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City | PAHRUMP
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State | NV
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Zip | 89048-5821
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Country | US
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Telephone | 725-525-1024
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Fax |
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Provider Business Mailing Address
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Address Line | 4108 CAROL BAILEY AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-6809
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Country | US
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Telephone | 702-472-3137
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BEATRICE MARQUEZ
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Credential | MFT-I, LADC
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Telephone | 702-472-3137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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